Dilated fixed pupils and respiratory failure: a rare clinical course of Lambert-Eaton myasthenic syndrome.
Michelle F M Ten BrinckInge Wh VerheijenJaron van de WardtGert W van DijkFrouke Ap NijhuisAad VerripsPublished in: BMJ neurology open (2023)
A rare course of LEMS, with early respiratory failure and wide, fixed pupils. Regarding repetitive nerve stimulation, it is important to stimulate long enough to see the incremental response. Furthermore, this study illustrated the importance of malignancy screening with PET-CT when there is a high suspicion of small-cell lung carcinoma with negative conventional CT.